Miisupply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2017597 Issued in NY

Legal business name

MIISUPPLY LLC

Practice address

450 Jericho Tpke
Mineola, NY 11501-1135

Phone

(516) 279-6622

NPI assigned

Jan 26, 2015

Last updated

Oct 15, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Vlad Moshe

Title

Manager

Phone

(516) 279-6622

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1073903217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 JERICHO TPKE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011135",
            "telephone_number": "516-279-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 JERICHO TPKE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011135",
            "telephone_number": "516-279-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIISUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "MOSHE",
        "authorized_official_first_name": "VLAD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-279-6622",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "2017597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Michel
• Widline Michel
• Nickolaos Michelakis, M.D.
• Lauren Miele
• Donato Mignone
• Afaf Mikhail, MD
• Mageda Bishara Mikhail, M.D.
• Vanessa J Milan-Leal, P.A.
• Gonzalo Militar
• Bonnie P. Miller, D.O.

• Durable Medical Equipment & Medical Supplies in Mineola, NY
• Providers in Mineola, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.